Long-Term Care and Homecare
NCLEX- Style Questions
NCLEX- Style Questions
Question 1
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The nurse case manager observes ageism while assisting Mrs. Lotfi. Which of the following statements reflect ageist attitudes that may impact Mrs. Lotfi’s care? (Select all that apply.
- “Cognitive decline and dementia are inevitable for all older adults.”
- “We should prioritize younger patients for home care services.”
- “Mrs. Lotfi is 80, therefore she is not a good candidate for rehabilitation services.”
- “At 80 years old, it’s normal to forget things”
- “We should respect Mrs. Lotfi’s autonomy and discuss options with her.”
Question 2
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The nurse case manager observes ageism while assisting Mrs. Lotfi. Which of the following statements reflect ageist attitudes that may impact Mrs. Lotfi’s care? (Select all that apply.)
- “Cognitive decline and dementia are inevitable for all older adults.”
- “We should prioritize younger patients for home care services.”
- “Mrs. Lotfi is 80, therefore she is not a good candidate for rehabilitation services.”
- “At 80 years old, it’s normal to forget things”
- “We should respect Mrs. Lotfi’s autonomy and discuss options with her.”
Question 3
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Question 4
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Question 5
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The nurse is developing a care plan for Mrs. Lotfi while she awaits long-term care (LTC) placement. Which interventions should be prioritized? (Select 3 interventions)
- Increase personal support worker (PSW) home visits to assist with activities of daily living (ADLs) and medication management
- Collaborate with a social worker to discuss financial options and resources with Riaz and Negin
- Initiate a structured cognitive rehabilitation program to slow cognitive decline
- Temporarily place Mrs. Lotfi in an emergency respite care facility while the family finalizes an LTC application
- Remove trip hazards and reorganize furniture to create a safer home environment
- Advocate for hospitalization to reassess Mrs. Lotfi’s functional status and eligibility for LTC
Question 6
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The nurse is evaluating Mrs. Lotfi’s care needs while awaiting long-term care (LTC) placement. Which intervention is the most appropriate initial action to ensure Mrs. Lotfi’s safety while respecting her autonomy?
- Initiate an immediate capacity assessment to determine if Mrs. Lotfi is fit to make decisions about her care.
- Apply for an emergency LTC placement to expedite Mrs. Lotfi’s transition into a supervised care facility.
- Implement safety modifications to support Mrs. Lotfi’s independent living while awaiting LTC placement.
- Encourage Mrs. Lotfi’s children to obtain legal guardianship to make decisions on her behalf to facilitate timely placement in LTC.
